Fetal Abdominal Cysts: Prenatal Diagnosis and Management

Açıkgöz, Aydan; Tten, Abdullah; Bulut, Berk; Öncül, Mahmut; Eskalen, Şerife; Çakmak, Burcu Dinçgez; Adaletli, İbrahim; Madazli, Rıza; Benian, Ali

doi:10.4172/2161-0932.1000319

Cited by 3 publications

(1 citation statement)

References 17 publications

(26 reference statements)

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“…However, accurate identification is challenging, even during childhood, due to the resemblance and diversity of the focal abdominal cystic lesions ( 9 , 10 ). Accumulating evidence indicates that the pre- and postnatal outcomes of fetal abdominal cysts may be associated with organ origin, gestational age at diagnosis, ultrasound characteristics and size at diagnosis ( 7 , 11 – 13 ). A recent multi-institutional retrospective cohort study reported that clear organ of origin, diagnosis earlier in gestation, initial prenatal cyst diameter and sonographic cyst characteristic changes can contribute to the differentiation and management of congenital ovarian cysts ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Outcomes of sonographically-suspected fetal intra-abdominal cysts: Surgical intervention, conservative management and spontaneous regression

Gai

Wang²,

Zheng³

et al. 2022

Front. Pediatr.

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ObjectiveThe prenatal diagnosis of fetal intra-abdominal cysts is challenging. This study aimed to evaluate the diagnostic ability of prenatal ultrasound for fetal intra-abdominal cysts and to develop a predictive method for pre- and postnatal outcomes.MethodsWe retrospectively reviewed fetuses with ultrasound-detected intra-abdominal cysts between January 2013 and January 2020. The maternal–fetal clinical characteristics and ultrasound parameters were integrated into a model of pre- or postnatal outcomes.ResultsThe study enrolled 190 eligible fetuses, including 94 cases of spontaneous regression, 33 cases of conservative management and 63 cases of surgical intervention. For the 63 cases of surgical intervention, prenatal ultrasound was found to identify fetal intra-abdominal cysts with 80.00% sensitivity (95% CI: 67.03%–89.57%), 37.50% specificity (95% CI: 8.52%–75.51%), 89.80% positive predictive value (95% CI: 83.51%–93.86%), 21.43% negative predictive value (95% CI: 8.80%–43.53%) and 74.60% accuracy (95% CI: 62.06%–84.73%). The predictive model of prenatal spontaneous regression was as follows: y = −3.291 + 0.083 × gestational age + 1.252 × initial diameter, with an area under the curve (AUC) of 0.819 (95% CI: 0.739–0.899) and an optimal cut-off value of 0.74. The large cyst diameter before delivery was an independent predictor of postnatal surgical intervention (p < 0.001), with an AUC of 0.710 (95% CI: 0.625–0.794) and an optimal cut-off value of 3.35 cm.ConclusionAlthough ultrasound has a limited ability in the accurate diagnosis of fetal abdominal cysts, a simple method of measuring the diameter can predict fetal outcomes and identify the cases that may require surgical intervention or spontaneous regression.

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Section: Introductionmentioning

confidence: 99%

Outcomes of sonographically-suspected fetal intra-abdominal cysts: Surgical intervention, conservative management and spontaneous regression

Gai

Wang²,

Zheng³

et al. 2022

Front. Pediatr.

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Perinatally Detected Subhepatic Cysts: Choledochal Cyst? or Cystic Biliary Atresia?

Yeon,

Lee,

et al. 2024

Adv Pediatr Surg

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Fetal Abdominal Cystic Lesion: A Diagnostic Dilemma and Prognostic Challenge-Report of Two Cases of Mesentric Lymphangioma with Review of Literature

Rohilla

Siwatch

Malik

et al. 2021

JWRH

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Fetal mesentric lymphangioma, a congenital fetal abdominal cystic malformation has a rare occurrence. Antenatal detection, its differential diagnosis, prenatal management options and parental counseling regarding postnatal prognosis of such a case are thus rarely discussed. We report two cases of antenatally detected fetal cystic abdominal mass with a provisional diagnosis of abdominal lymphangioma. Postnatally one of the neonates developed features of intestinal obstruction and required surgical intervention. Intra-operative findings and histopathology report confirmed a mesentric lymphangioma. The other neonate had associated subcutaneous lymphangiectasia in left lumbar region, left sided inguinal hernia, undescended testes and was asymptomatic postnatally and managed conservatively.

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Fetal Abdominal Cysts: Prenatal Diagnosis and Management

Cited by 3 publications

References 17 publications

Outcomes of sonographically-suspected fetal intra-abdominal cysts: Surgical intervention, conservative management and spontaneous regression

Outcomes of sonographically-suspected fetal intra-abdominal cysts: Surgical intervention, conservative management and spontaneous regression

Perinatally Detected Subhepatic Cysts: Choledochal Cyst? or Cystic Biliary Atresia?

Fetal Abdominal Cystic Lesion: A Diagnostic Dilemma and Prognostic Challenge-Report of Two Cases of Mesentric Lymphangioma with Review of Literature

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